ReviewHealth research policy and systems2021
An analysis of the impact of newborn survival policies in Pakistan using a policy triangle framework.
Review in Health research policy and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A district-based health facility assessment for maternal and newborn care across Pakistan.Journal of global health · 2026Article
- Why & where perinatal deaths: trends and determinants in Pakistan.Maternal health, neonatology and perinatology · 2026Article
- Article
- Political prioritization of prevention of mother-to-child transmission of HIV and syphilis: a qualitative comparative policy analysis in Ghana, Mozambique, and Sudan.Frontiers in public health · 2026Article
- Understanding the Ethiopian policy landscape on abortion services using a health policy triangle framework.International journal for equity in health · 2025Article
- Socioeconomic Disparities in Accessing Early Newborn Care in Pakistan: Secondary Data Analysis of Nationally Representative Sample.Turkish archives of pediatrics · 2025Article
- A cross-sectional analysis of preterm birth incidence and survival in Al Kharj, Saudi Arabia.Saudi medical journal · 2024Article
- A mixed method analysis of the Botswana schistosomiasis control policy and plans using the policy triangle framework.Global health research and policy · 2023Article
- Infant & Child Mortality in Pakistan and its Determinants: A Review.Inquiry : a journal of medical care organization, provision and financingReview
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Authors and funding
4 authors.
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Abstract
introductionPakistan has made slow progress towards reducing the newborn mortality burden; as a result, it has the highest burden of newborn mortality worldwide. This article presents an analysis of the current policies, plans, and strategies aimed at reducing the burden of newborn death in Pakistan for the purpose of identifying current policy gaps and contextual barriers towards proposing policy solutions for improved newborn health.
methodsWe begin with a content analysis of federal-level policies that address newborn mortality within the context of health system decentralization over the last 20 years. This is then followed by a case study analysis of policy and programme responses in a predominantly rural province of Pakistan, again within the context of broader health system decentralization. Finally, we review successful policies in comparable countries to identify feasible and effective policy choices that hold promise for implementation in Pakistan, considering the policy constraints we have identified.
resultsThe major health policies aimed at reduction of newborn mortality, following Pakistan's endorsement of global newborn survival goals and targets, lacked time-bound targets. We found confusion around roles and responsibilities of institutions in the implementation process and accountability for the outcomes, which was exacerbated by an incomplete decentralization of healthcare policy-making and health service delivery, particularly for women around birth, and newborns. Such wide gaps in the areas of target-setting, implementation mechanism, and evaluation could be because the policy-making largely ignored international commitments and lessons of successful policy-making in comparable regional counties.
conclusionsInclusion of clear goals and targets in newborn survival policies and plans, completion of the decentralization process of maternal and child healthcare service delivery, and policy-making and implementation by translating complex evidence and using regional but locally applicable case studies will be essential to any effective policy-making on newborn survival in Pakistan.
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